[Transgender people and care]. / Les personnes transgenres face aux soins.

Transgender people should be patients like any other. However, many testimonies describe how difficult, even painful, access to care is for them. Some health care providers react with incomprehension, rejection and discrimination, which can be perceived as violence towards transgender patients. A change in health policies and the implementation of training are fundamental to ending these inequalities in care.

[Incest, a genocidal crime]. / L'inceste, un crime génocidaire.

Incest covers multiple situations that have in common family dynamics where the absolute prohibition to have sexual relations with one of its members is not respected. It is a fundamental taboo in our Western societies where the family is considered as a system structuring the relationships between individuals. How can we understand the family transactions that can lead to such situations? What do we know today about families where incest occurs? What is the place of each member of this family, whether he or she is an actor, a witness, or totally unaware of the facts? What happens to the victims of such acts? Here is an insight into these different questions based on our experience as psychotherapists and researchers.

[Identifying and preventing violence in healthcare settings]. / Repérer et prévenir la violence dans le soin.

The concept of care, of the patient and of illness has evolved over the course of history, changing at the same time as society. It is marked by the scientific, cultural and religious references of our country, which have led to a modification of the relationship with the patient, which can give rise to certain forms of violence. If violence seems to be inevitably intertwined with care, going back to the origins of the latter, to its individual and intersubjective stakes, and to the possible perspectives for limiting this violence, offers some elements of understanding.

[White plans, psychological challenges for healthcare workers]. / Plans blancs, enjeux psychiques pour les soignants.

One aspect of white plans which is completely forgotten is their psychological impact on healthcare workers. Yet beyond the essential organisational aspect to be taken into account, the human dimension is equally important.

[Living with the threat of terrorism: how to best support children?] / Vivre avec la menace terroriste : comment accompagner au mieux les enfants ?

Today's generation of children is confronted with a reality that their parents' generations did not know, that of the risk of terrorism. While mass attacks in recent months have given way to occasional attacks involving a single perpetrator and fewer victims, the risk remains omnipresent. Living with a permanent threat is not insignificant at an age where security in each other and in the future is fundamental to growing up serenely. How then can we best support children and adolescents in such a context?

[Reconciling temporality in the caregiver-user-family trilogy]. / Concilier la temporalité dans la trilogie soignant-usager-famille.

Multiple factors are at play in a patient's care. One such factor, time, is a unique notion which establishes itself as a third party in the caregiver-patient relationship. Understanding the challenges involved makes it easier to appreciate how it can interfere in care and how to use it as a real resource in the patient's treatment.

[The patient with a mutilated body, specific management]. / Le patient au corps mutilé, une prise en charge spécifique.

The mutilated body testifies to the physical and psychological metamorphosis which is imposed on the patient concerned and the caregiver. For the patient as well as the professionals around him or her, taking care of this body is not easy and requires full awareness of the challenges involved.

[Jihadi radicalisation, legal definitions and reference points]. / La radicalisation djihadiste, définitions et repères juridiques.

Since the terrorist threat has become part of daily life in France, two terms are systematically used in the public debate: radicalisation and deradicalisation. It is essential to understand exactly what these words encompass, and to know the legal framework associated with them, in order to limit all sorts of interpretations which serve to add to the confusion related to the current context.

[Remaining a caregiver in the face of radicalised patients]. / Face aux patients radicalisés, rester soignant malgré tout.

Caregivers care for patients of all cultural and religious origins. However, the current context of terrorist threat raises specific questions due to the government's appeals to help spot radicalised patients or those in the process of becoming so. These fundamental questions are related to professional secrecy and the ethics of care.

[School in the face of radicalisation]. / L'école à l'épreuve de la radicalisation.

The school is a living space for children and adolescents. It is therefore the ideal place to spot worrying changes of attitude such as those which indicate radicalisation. It is also here that the fundamental knowledge and values of our French society are passed on. In this respect, schools have a key role to play in preventing what could lead young people to radical indoctrination.

[Forms of immediate medical-psychological interventions]. / Modalités des interventions médico-psychologiques immédiates.

Immediate interventions with victims have increased over recent years. Such treatment requires specific clinical skills. The forms of intervention used with those affected (victims, witnesses, emergency response team) vary according to whether it involves individuals or a group of people.

[Psychological trauma in pre-school children]. / Traumatisme psychique chez l'enfant d'âge préscolaire.

Overall clinical pictures of post-traumatic experiences in pre-school children depend on several factors: developmental, environmental and socio-cultural. Knowledge of these clinical pictures and the early management of these children are essential for their development and for building their personality.

[The sibling relationship in the event of death]. / Le lien fraternel à l'épreuve du deuil.

The sibling relationship in the event of death. For adults and children, the death of a loved one is an unbearable loss. Although individual support is available for families, very little attention is paid to brothers and sisters. Yet, a grieving child is exposed not only on a personal level, but also, when brothers and sisters are involved, in terms of sibling dynamics.

[Care for young children who have suffered a tragic event]. / La prise en charge de jeunes enfants victimes d'un événement traumatique.

Children are regularly faced with traumatic events, whether these are disasters (tsunami, floods, earthquakes), accidents (transport, domestic) or intentional acts (war, ill treatment). The care provided for young Haitian children following the earthquake in January 2010 offers an insight into specific intervention methods, the treatment of post-traumatic disorders and the effects of trauma on those working with them.

[Care in the very first moments in the event of traumatic loss]. / Face aux pertes traumatiques, être soignant dès les premiers instants.

The importance of managing the family circle in the event of violent death has been underestimated for many years. Only the reanimation of these patients in vital distress has been defined clearly. The training and information of pre-hospital emergency staff in recent years has helped to make considerable headway in professional practices on this subject.